Maryam Sharifian Darcheh - Shiraz University of Medical Sciences, Nephrology Department
Roozbeh - Shiraz University of Medical Sciences, Nephrology Department
Sagheb - Shiraz University of Medical Sciences, Nephrology Department
Sadeghi - Shiraz University of Medical Sciences, Nephrology Department

Background: On the morning of 26 December 2003 at 05:28 (local time) a major earthquake measuring 6,51 on the Richter scale struck the city of Bam, Kerman province. Southeastern Iran .Among the most important morbid events in survivors were acute renal problems . Clinical findings, laboratory data and management of the renal victims who were transferred to Shiraz hospitals have been the subject of this analysis. Method : Medical records of twenty patients with acute renal failure admitted in three university hospitals and one community hospital were reviewed. Results: Overall 801 patients were transferred to Shiraz hospitals, of whom 20 (mean age 14,7 ± 36,2 years, 15 males) developed acute renal failure with mean duration of 9,6 ± 14,5 days. Total mortality was 21 ( % 2,6 ) and acute renal failure mortality was .(% 15 ) 3 Seven patients received standard fluid therapy and 13 patients received variable hydration and volume treatment. In total, 79 dialysis sessions were performed in 15 patients (mean 5,2 ± 3,3 sessions per patient). There was positive correlation between time spent under rubble and peak serum CK level ) p=0,035 ), acute renal failure duration (p=0,047 ) and admission potassium levels ) p=0,033 ). Serum CK level positively correlated with acute renal failure duration (p=0,008 ). Patient who had received standard treatment had significantly shorter duration of acute renal failure ( 7,1 versus 19,4 p= ( 0,008 and less dialysis session ( 1,3 versus 5,92 p=0,007 ) than patient who had treated variably. Conclusion: In victims of earthquake time spent under rubble and peak serum CK serve to estimate morbidity and early standard treatment may decrease renal morbidity.

ARF, Dialysis, Morbidity